Kelsee Blackwell | Silver Spring, MD • PECOS Search

Kelsee Blackwell

Pharmacist

Pharmacy Service Providers

710 Roeder Rd Apt 1004, Silver Spring, MD 20910-4416

PECOS Enrollment

Based on the most recent information from CMS, provider Kelsee Blackwell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326595489
Provider Type
Individual
Full Name
Blackwell, Kelsee
Gender
Female

Sole Proprietor
No
Enumeration Date
9/7/2016
Last Updated
9/7/2016

Contact Information

Practice Location

710 Roeder Rd Apt 1004, Silver Spring, MD 20910-4416

Unlisted Fax

Mailing Location

710 Roeder Rd, Apt 1004, Silver Spring, MD 20910

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 24149 Maryland